A Randomized Clinical Trial of Targeted Cognitive Behavioral Treatment to Reduce Catastrophizing in Chronic Headache Sufferers

Thorn, Beverly E.; Pence, Laura B.; Ward, L. Charles; Kilgo, Gary R.; Clements, Kristi L.; Cross, Tony H.; Davis, Amber; Tsui, Patricia

doi:10.1016/j.jpain.2007.06.010

Cited by 180 publications

(130 citation statements)

References 39 publications

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“…We found that compared to White individuals, Black individuals demonstrated a lower tolerance for experimental cold pain, which may be related to their increased use of praying and catastrophizing as pain coping strategies. Our results suggest that in addition to focusing on reducing catastrophic cognitions 42,43 , psychosocial treatments for chronic pain should encourage patients to take a more active role in their treatment rather than passively praying for relief. Further, the present findings support the need to examine a broader conceptualization of prayer in order to elucidate the aspects of prayer that influence pain sensitivity.…”

Section: Discussionmentioning

confidence: 92%

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In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

Meints

Hirsh

2015

The Journal of Pain

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Black individuals have a lower tolerance for experimental pain than White individuals. Black and White individuals also differ in their use of pain coping strategies, which may explain the race differences in pain sensitivity. We examined the extent to which situation-specific pain coping mediated Black-White differences in pain sensitivity. We hypothesized that: (1) Black participants would demonstrate lower pain tolerance than White participants, (2) Black participants would use different pain coping strategies than White participants, and (3) the differential use of these strategies would mediate the relationship between race and pain tolerance. Healthy college undergraduates (N=190) participated in a cold pressor task and then completed the CSQ-R to assess their situation-specific pain coping. Compared to White participants, Black participants demonstrated lower pain tolerance, engaged in more situationspecific catastrophizing and praying, and ignored pain less frequently. Catastrophizing and praying were inversely related to pain tolerance and were significant mediators of the relationship between race and pain tolerance. The indirect effect of praying was stronger than that of catastrophizing. Race differences in pain sensitivity may be due, in part, to differences in the use of catastrophizing and praying as coping strategies. These results may help guide treatments addressing maladaptive pain coping. Perspective:This study suggests that race differences in pain sensitivity may be due, in part, to the differential use of catastrophizing and praying strategies. Psychosocial treatments for pain should encourage patients to take an active role in their pain management.

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Section: Discussionmentioning

confidence: 92%

“…One implication is that psychosocial treatments for chronic pain may need to focus more on reducing maladaptive coping; increasing adaptive coping should be a secondary goal. Indeed, reducing catastrophic cognitions is already a primary focus of some psychological treatments for pain 42,43 . Our results support this clinical emphasis.…”

Section: Discussionmentioning

confidence: 99%

In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

Meints

Hirsh

2015

The Journal of Pain

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“…Second, identifying borderline morbidly obese and morbidly obese OA patients who are prone to pain catastrophizing could lead to more timely referral of patients for interventions designed to reduce pain catastrophizing. Pain catastrophizing is a modifiable pain cognition (32), and reductions in pain catastrophizing could potentially improve the patient's pain and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Pain Catastrophizing in Borderline Morbidly Obese and Morbidly Obese Individuals with Osteoarthritic Knee Pain

Somers

Keefe

Carson

et al. 2008

Pain Research and Management

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OBJECTIVE: There is limited information about how morbidly obese osteoarthritis (OA) patients cope with the pain they experience. Pain catastrophizing is an important predictor of pain and adjustment in persons with persistent pain. This may be particularly relevant in the morbidly obese (body mass index [BMI] of 40 kg/m 2 or greater) OA population at risk for increased pain. The present study first examined whether borderline morbidly obese and morbidly obese OA patients report higher levels of pain catastrophizing than a sample of OA patients in the overweight and obese category (BMI between 25 kg/m 2 and 34 kg/m 2 ). Next, it examined how pain catastrophizing is related to important indexes of pain and adjustment in borderline morbidly obese and morbidly obese OA patients. METHODS: Participants included 43 individuals with knee OA who were borderline morbidly obese or morbidly obese (BMI of 38 kg/m 2 or greater). Participants completed self-report measures of pain catastrophizing, pain, psychological distress, quality of life, binge eating and eating self-efficacy. RESULTS: The sample of borderline morbidly obese and morbidly obese OA patients reported significantly higher levels of pain catastrophizing (P=0.007) than a comparison sample of overweight and obese OA patients. Results suggested that patients who engaged in a high level of pain catastrophizing reported having much more intense and unpleasant pain, higher levels of binge eating, lower self-efficacy for controlling their eating and lower weight-related quality of life (P<0.05 for all). CONCLUSIONS: Pain catastrophizing is related to pain and adjustment in borderline morbidly obese and morbidly obese OA patients. Clinicians working with this population should consider assessing pain catastrophizing in the patients they treat.Key Words: Morbidly obese; Osteoarthritis; Pain catastrophizing La dramatisation de la douleur chez les personnes à la limite de l'obésité morbide ou présen-tant une morbidité morbide et souffrant de douleurs causées par l'arthrose du genou OBJECTIF : On possède peu d'information sur la manière dont les obèses morbides atteints d'arthrose affrontent les douleurs dont ils souffrent. La dramatisation de la douleur est un important prédicteur de la douleur et de l'adaptation chez les personnes souffrant de douleurs persistantes. Ce peut être particulièrement pertinent chez les patients atteints d'arthrose présentant une obésité morbide (indice de masse corporelle [IMC] d'au moins 40 kg/m 2 ) vulnérables à une douleur plus marquée. Dans la présente étude, les auteurs ont d'abord évalué si les patients atteints d'arthrose à la limite de l'obésité morbide ou présentant une obésité morbide déclaraient un plus fort taux de dramatisation de la douleur qu'un échantillon de patients atteints d'arthrose obèses ou faisant de l'embonpoint (IMC de 25 kg/m 2 à 34 kg/m 2 ). Ils ont ensuite examiné dans quelle mesure la dramatisation de la douleur est reliée aux importants indices de la douleur et de l'adaptation chez les patients atteints d'ar...

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“…A substantial amount of evidence from the literature indicates that cognitive-behavioral therapy (CBT) is efficacious in alleviating headache pain. The benefits of CBT include reduced medication use and decreased headache frequency, intensity, and duration (10,11).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Mindfulness-Based Cognitive-Behavioral Therapy on Relieving Migraine Headaches

et al. 2017

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Background: The world health organization has ranked migraine among top 20 disabling diseases. The major adverse effects of migraine headaches on patients and society are an important public health concern. This study aimed to evaluate the effectiveness of mindfulness-based cognitive therapy (MBCT) on reducing the impact of migraine headaches on women. Methods: In the current study, a quasi-experimental design was applied. In this semi-experimental study, 26 women with migraine were selected via available sampling and were randomly placed into experimental (n, 13) and control (n, 13) groups. All 26 patients were asked to record their experience of headache attacks in terms of frequency, intensity, and duration for 1 month in a headache diary. Subsequently, the experimental group participated in 8 sessions of MBCT (2-hour sessions). Results: The analysis of covariance (ANCOVA) indicated a significant decline in the mean headache frequency (P < 0.001), duration (P < 0.001), and severity (P < 0.001) in the experimental group. Conclusions: This trial empirically examined the efficacy of MBCT in the treatment of migraine headaches and showed that MBCT is effective in treating or alleviating migraine headaches. This study could provide a psychological approach for the future treatment of chronic pain to avoid relying on medications alone.

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A Randomized Clinical Trial of Targeted Cognitive Behavioral Treatment to Reduce Catastrophizing in Chronic Headache Sufferers

Cited by 180 publications

References 39 publications

In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

Pain Catastrophizing in Borderline Morbidly Obese and Morbidly Obese Individuals with Osteoarthritic Knee Pain

Effectiveness of Mindfulness-Based Cognitive-Behavioral Therapy on Relieving Migraine Headaches

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